Active NPI
Sherry C Wang, PHD
- Counseling Psychologist
- Santa Clara, CA
National Provider Identifier
1710606116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 31940
- Practice address
- 1585 Newhall St
Santa Clara, CA 95050-6114 - Phone
- (626) 241-7786
- NPI assigned
- Aug 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 31940 | CA | Primary |
Addresses
Primary practice location
1585 Newhall St
Santa Clara, CA 95050-6114
Mailing address
2010 El Camino Real # 2289
Santa Clara, CA 95050-4051
Phone (626) 241-7786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31940 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1710606116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 EL CAMINO REAL # 2289",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504051",
"telephone_number": "626-241-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 NEWHALL ST",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506114",
"telephone_number": "626-241-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "SHERRY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "31940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.